ECUMEN NPI 1265646236

NPI Information

NPI: 1265646236
Provider Name: ECUMEN

Other Name: MEADOWS OF WORTHINGTON

Classification: Assisted Living Facility - 310400000X
Entity Type: Organization

Address:
1801 COLLEGEWAY
WORTHINGTON, MN
ZIP 56187
Phone: (507) 372-7838
Get Directions

ECUMEN is an assisted living facility in Worthington, MN. The provider is a facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being. ECUMEN NPI is 1265646236. The provider is registered as an organization entity type.
The provider Other Name Is Meadows Of Worthington.

The provider's business location address is:

1801 COLLEGEWAY
WORTHINGTON, MN
ZIP 56187-075
Phone: (507) 372-7838

The provider's authorized official is Kathryn R Roberts .
The authorized official title is Ceo and has the following contact phone number (651) 766-4300.

The CLIA number assigned to this NPI record is 24D1048703 - assisted living facility with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 5/9/2007 and was last updated on 8/22/2020.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	310400000X	Assisted Living Facility		335238	MINNESOTA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	118417200	MEDICAID	MINNESOTA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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